Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $403.50 / $403.50 / $958.47	Facility		$403.50	$403.50	$958.47
Aetna Facility/Professional Professional Modifier Low / Median / High Price $357.63 / $488.69 / $577.59	Professional		$357.63	$488.69	$577.59
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $849.66 / $1,189.52 / $3,118.25	Facility		$849.66	$1,189.52	$3,118.25
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $441.82 / $706.48 / $1,356.44	Professional		$441.82	$706.48	$1,356.44
CareSource Facility/Professional Facility Modifier Low / Median / High Price $617.57 / $823.43 / $1,571.87	Facility		$617.57	$823.43	$1,571.87
CareSource Facility/Professional Professional Modifier Low / Median / High Price $722.21 / $722.21 / $722.21	Professional		$722.21	$722.21	$722.21
Cigna Facility/Professional Facility Modifier Low / Median / High Price $454.00 / $454.00 / $454.00	Facility		$454.00	$454.00	$454.00
Cigna Facility/Professional Professional Modifier Low / Median / High Price $331.42 / $454.00 / $970.89	Professional		$331.42	$454.00	$970.89
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $645.74 / $849.66 / $1,180.58	Professional		$645.74	$849.66	$1,180.58
Oscar Health Facility/Professional Professional Modifier Low / Median / High Price $552.28 / $1,444.42 / $1,603.30	Professional		$552.28	$1,444.42	$1,603.30
United Facility/Professional Professional Modifier Low / Median / High Price $282.58 / $423.89 / $706.48	Professional		$282.58	$423.89	$706.48